A client is in the emergency department after a motor vehicle crash. In assessing the client, which clinical sign alerts the nurse to the presence of possible liver trauma?
a. Abdominal pain referred to the right shoulder
b. Left upper quadrant abdominal pain and swelling
c. Abdominal pain referred to the spine and legs
d. Abdominal pain with accompanying re-bound tenderness
A
One of the key features of liver trauma is abdominal pain that is increased on deep breathing and is referred to the right shoulder. The liver is on the right, not the left, side of the body. Liver in-jury does not produce pain that radiates to the spine and down the legs. Rebound tenderness can indicate peritonitis.
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